| NPI | 1215345905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL A GUNNETT Owner/Manager 319-826-6773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IA 37419) |
| Enumeration Date | 2014-07-26 |
| Last Update Date | 2016-02-22 |